清热化瘀法对输尿管结石经输尿管镜碎石术后排石作用的临床研究

发布时间：2018-11-04 21:30

【摘要】：目的：评价清热化瘀法对输尿管结石经输尿管镜碎石术后排石作用的临床疗效及安全性。方法：将我院2013年10月至2015年10月单纯输尿管结石,结石大小为8～20mm,行输尿管镜碎石术病例368例,随机分为两组,清热化瘀法治疗组186例,对照组182例。所有患者术后1、2、4周复查泌尿系统B超或X线腹部平片(KUB),并行尿常规等检查。主要观察两组患者的结石碎块排净时间、尿潜血、腰腹部疼痛程度及发生率等疗效指标变化。所有数据均以SPSS19.0统计软件进行统计学分析。结果：清热化瘀法治疗组患者在术后1、2周的结石排净率分别为67.74%、90.32%,明显优于对照组的45.60%、74.18%,差异有统计学意义(P0.05)；而治疗组患者在术后4周结石排净率98.92%,与对照组的98.35%比较差异无统计学意义(P0.05)。治疗组患者在术后1、2、4周尿潜血情况较对照组患者尿潜血情况要轻,差异有统计学意义(P0.05)。治疗组腰腹部疼痛发生率为53.76%,与对照组的68.13%比较差异有统计学意义(P0.05),并且治疗组腰腹部疼痛严重程度比对照组明显要轻,差异有统计学意义(P0.05)。结论：输尿管结石经输尿管镜碎石术后应用清热化瘀法治疗能明显促进结石排出,缩短患者的排石时间,并且减少血尿及腰腹部疼痛发生,促进患者及早康复。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of removing heat and removing blood stasis in the treatment of ureteral calculi after ureteroscopic lithotripsy. Methods: from October 2013 to October 2015, 368 cases of ureteroscopic lithotripsy were randomly divided into two groups: 186 cases in the treatment group and 182 cases in the control group. All the patients were examined with B-ultrasound or X-ray plain film (KUB), and urine routine at 1: 2 and 4 weeks postoperatively. The time of stone removal, urine occult blood, the degree and incidence of pain in waist and abdomen were observed. All the data were analyzed by SPSS19.0 statistical software. Results: the stone removal rate in the treatment group was 67.74 and 90.32 respectively at 1 and 2 weeks after operation, which was significantly better than that in the control group (45.60,74.18) (P0.05). In the treatment group, the stone removal rate was 98.92% 4 weeks after operation, and there was no significant difference between the treatment group and the control group (98.35%) (P0.05). In the treatment group, the occult blood condition of the patients in the treatment group was lighter than that in the control group at 1 and 2 weeks postoperatively (P0.05). The incidence of lumbar abdominal pain in the treatment group was 53.76, which was significantly different from that in the control group (68.13%) (P0.05), and the severity of lumbar abdominal pain in the treatment group was significantly lighter than that in the control group. The difference was statistically significant (P0.05). Conclusion: the treatment of ureteral calculi through ureteroscopic lithotripsy can obviously promote the excretion of stones, shorten the time of lithotomy, reduce the occurrence of hematuria and pain in the waist and abdomen, and promote the early recovery of the patients.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R699.4

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